NPI 1508024415 · live from the CMS NPI Registry
Benyamin Y Ebrahim, MD
Ophthalmology in Antioch, TN. National Provider Identifier 1508024415, active.
NPI record
| NPI | 1508024415 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 522 Bell Rd, Antioch Eye Care Center, Physician & Surgeon, PLLC, Antioch, TN 37013 |
| Practice phone | 615-361-7266 |
| Enumerated | May 28, 2008 |
| Last updated | June 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 49780 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.